Task shifting of antiretroviral treatment from doctors to primary-care nurses in South Africa (STRETCH): a pragmatic, parallel, cluster-randomised trial

Fairall, Lara, Bachmann, Max ORCID: https://orcid.org/0000-0003-1770-3506, Lombard, Carl, Timmerman, Venessa, Uebel, Kerry, Zwarenstein, Merrick, Boulle, Andrew, Georgeu, Daniella, Colvin, Christopher J, Lewin, Simon, Faris, Gill, Cornick, Ruth, Draper, Beverly, Tshabalala, Mvula, Kotze, Eduan, van Vuuren, Cloete, Steyn, Dewald, Chapman, Ronald and Bateman, Eric (2012) Task shifting of antiretroviral treatment from doctors to primary-care nurses in South Africa (STRETCH): a pragmatic, parallel, cluster-randomised trial. Lancet, 380 (9845). pp. 889-898. ISSN 1474-547X

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Abstract

Robust evidence of the effectiveness of task shifting of antiretroviral therapy (ART) from doctors to other health workers is scarce. We aimed to assess the effects on mortality, viral suppression, and other health outcomes and quality indicators of the Streamlining Tasks and Roles to Expand Treatment and Care for HIV (STRETCH) programme, which provides educational outreach training of nurses to initiate and represcribe ART, and to decentralise care.

Item Type:	Article
Additional Information:	Copyright © 2012 Elsevier Ltd. All rights reserved.
Uncontrolled Keywords:	anti-hiv agents,humans,primary health care,cd4 lymphocyte count,viral load,hiv infections,adult,primary care nursing,treatment outcome,delivery of health care,middle aged,south africa,drug prescriptions,female,male,sdg 3 - good health and well-being ,/dk/atira/pure/sustainabledevelopmentgoals/good_health_and_well_being
Faculty \ School:	Faculty of Medicine and Health Sciences > Norwich Medical School
UEA Research Groups:	Faculty of Medicine and Health Sciences > Research Groups > Health Services and Primary Care Faculty of Science > Research Groups > Norwich Epidemiology Centre Faculty of Medicine and Health Sciences > Research Groups > Norwich Epidemiology Centre Faculty of Medicine and Health Sciences > Research Centres > Population Health
Depositing User:	Pure Connector
Date Deposited:	26 Jun 2013 11:00
Last Modified:	19 Oct 2023 01:08
URI:	https://ueaeprints.uea.ac.uk/id/eprint/42502
DOI:	10.1016/S0140-6736(12)60730-2

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